Provider Demographics
NPI:1063643492
Name:TOOMER, ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:TOOMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:SCHLEISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6340 SUGARLOAF PKWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4333
Mailing Address - Country:US
Mailing Address - Phone:770-476-5877
Mailing Address - Fax:770-476-5835
Practice Address - Street 1:6340 SUGARLOAF PKWY
Practice Address - Street 2:SUITE 125
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4333
Practice Address - Country:US
Practice Address - Phone:770-476-5877
Practice Address - Fax:770-476-5835
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist